Date of Award

5-22-2020

Document Type

Open Access Thesis

Degree Name

Master of Medical Science (MMSc)

First Advisor

Sangini Sheth, MD, MPH

Abstract

Cervical cancer is the fourth most common cancer and fourth most common cause of cancer-related death in women in the world. Current guidelines for cervical cancer screening recommend a Pap and/or human papillomavirus test and a follow-up colposcopy if particular abnormalities are discovered. In many patients, colposcopies cause significant levels of anxiety, adversely impacting patients’ pain tolerance and adherence to follow-up. Previous studies have shown mixed results on whether video colposcopy decreases this anxiety. Moreover, these effects have not been assessed in low-income communities who are disproportionally affected by cervical cancer. In this study, we will conduct a single blind randomized controlled trial to determine whether video colposcopy decreases anxiety associated with colposcopy in low-income patients. This study may help demonstrate the effectiveness of video educational interventions in reducing anxiety, potentially establishing video colposcopy as a useful addition to standard colposcopy practice in this patient population.

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